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OOAAD OF TgUSTE[s ' J <br /> At Crow,Pres, JOAQUIN LOCAL HEALTH Di', RI T . <br /> Earl Plmenl,l,vice pros 1601 ESERVING <br /> Tommy Joyce,Socy, East Hazelton Avenue �r {poquln County <br /> James F.Culbertson Stockton, California 95205 6� tllY or Mnmoc, <br /> John D,M,sl,M.O, Cly Or Eecalon <br /> Virginia Melhewe JO(11 KHANNA, M.D., M,P.11., DISTRICT HEALTH OFFICEn J U L ' 7 4140xn1 <br /> Lodi <br /> Thomas Schubert.D.V.M. J City <br /> ofracy <br /> Daphne Shaw <br /> ENVIRONMENTAL HEALTH DIVISIONVIRONME(VTA� HEALT;Clyarnlpa <br /> Hervey Williams.PhD. (209) 460-3420 PERM IT/SERVIDS3n Joaquin County <br /> AUTHOFZ Z ZAT I ONCity O4 Stockton <br /> TO RIE L_EABE Son Joaquin Count' <br /> ►� ANALYTICAL RESULTS <br /> �4 GEOTECHNICAL DATA <br /> �+ ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> I. THE UNDERSIGNED OWNER AND/OP, <br /> OPERATOR OF THE PROPERTY AND/OP, FACILITY <br /> LOCATED AT 611 North Main Manteca, Ca . <br /> (SIACCI AFFACSS) <br /> HEREBY AUTHORIZE Geo-Anal tical #E757 1031 KansaslAve Suite C Modesto <br /> TO RELEASE ANY AND ALL ANALYTICFS95 <br /> ALRESULTS, GEOTECHNICAL DATA C 1 <br /> ENVIRONMENTAL/SITE ASSESSMENT INFORMATION TO THE SAN JOADUIN LOCALRHEALTH <br /> DISTRICT AS SOON AS IT IS AVAILABLE AND <br /> AT THE SAME TIME IT IS Pf<OVIDED <br /> TO ME OR MY RC-PRESENTATIVE. <br /> BUSINESS NAME: Delta National Bank <br /> (Ir A19(ICAA(C1 <br /> OWNER/OPERATOR: Ron Dalben <br /> Assistant Vice President <br /> r�(CASC lAlA71 <br /> r/rnu <br /> !Sl6IAlUAC1 <br /> ADDRESS: P.O. B� c� x 432 <br /> rFA4116 AUuirss) <br /> Manteca, CA. 95336 <br /> rS1Ar[1 rlrN` <br /> PHONE: (209 ) 239-4836 <br /> .r # ,sa <br /> DATE: June 19, 1990 , <br /> EH 23 041 Revised 1/09 AING. 166,49a6' � <br /> EOv,VIRONMENTAL H'EA <br /> Administration tp,RMIT <br /> 400.3400 Clinical cos mental Heahh t t(�y,•'l l!/� rct'.l P l l7 <br /> 460-DOJO3830 Environ <br /> JCS u <br /> Alr Pollution 460.3420 bhc Hoalth Nursing <br /> 460- Community Sorvicos 460.3060 <br /> 3470 460.3020 Lnborwory <br /> 4GG-34GO VAC <br /> . .... 400-3200 <br />